- Elevance Health (Portage, IN)
- …a managed care setting preferred. LCSW, LMHC, or RN license is highly preferred. Case Management experience is highly preferred. Previous experience in long term ... ** Manager I, GBD Special Programs LTSS ...in a related field, including minimum of 1 year leadership/ management experience; or any combination of education and experience,… more
- Elevance Health (New Castle, IN)
- …other capacity, highly preferred + Experience managing a community and/or facility-based care management case load, highly preferred + BA/BS degree field of ... and overall management of the individuals physical health (PH)/behavioral health (BH)/ LTSS needs, as required by applicable state law and contract, and federal… more
- Humana (Annapolis, MD)
- …community and help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management ( LTSS -ABD) who will lead a team of nurses ... compliance with contractual requirements and industry best practices. The Manager , Care Management ( LTSS -ABD) works...Three (3) or more years of professional experience in Case Management , in Medicaid and/or Medicare, specifically… more
- Iowa Department of Administrative Services (State Of Iowa, IA)
- …as apply quality assurance approaches strategically. Candidates with experience in Medicaid LTSS /HCBS, Targeted Case Management , State Plan Habilitation, and ... NW Regional Community Integration Manager - Medicaid LTSS Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4503716) Apply NW Regional Community… more
- Molina Healthcare (Wytheville, VA)
- …Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population ... with. Case Manager will be required to physically...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service… more
- Molina Healthcare (Roanoke, VA)
- …LCSW who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population ... with. Case Manager will be required to physically...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service… more
- Molina Healthcare (Taylor, MI)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration… more
- Molina Healthcare (San Antonio, TX)
- …comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration ... Long Term Services & Supports. + 1-3 years in case management , disease management , managed...services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina… more
- Molina Healthcare (Racine, WI)
- …comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration ... with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical or… more
- ACI Federal (Chesapeake, VA)
- …also provide resources and referrals to at-risk clients and serves as a limited case manager for screening follow up needs. The successful applicant works ... Registered Nurse ( LTSS ) EOE Statement We are an equal employment...analyze situations and problem. Experience in home visiting and case management is needed. Working experience in… more
- Centene Corporation (Raleigh, NC)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... effective coordination of care activities. + Provides care coordination and care management and oversees higher acuity long-term support services / long-term care… more
- AmeriHealth Caritas (Newark, DE)
- …consultation to staff as appropriate. + Assists IHCM Managers in assessing members' need for case management services. + Attends case management meetings ... and monthly rounds as scheduled. + Collaborates with the integrated case management team, during scheduled meetings and informally as needed. + Thoroughly… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …contract language and reimbursement methodologies, managed care business processes, case \-mix adjustment, medical terminology, utilization management and ... and PowerPoint\) + Accuracy and attention to detail + Effective time management skills + Excellent oral and written communication skills + Strong interpersonal… more
- Highmark Health (Dover, DE)
- …**Substitutions** + None **Preferred** + One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors ... programs such as Disease/Chronic Condition Management , Behavioral Health, and Complex Case Management . + Collaborate with the member's health care and… more
- Elevance Health (Brazil, IN)
- …per week in-person with patients, members or providers. The ** Case Manager - LCSW/LSW/MSW** (also called the ** LTSS Service Coordinator - Clinician)** has ... the IN PathWays for Aging program, contributes to the LTSS care coordination process by performing activities within the...preferred. + Experience managing a community and/or facility-based care management case load, highly preferred. + MA/MS… more
- Highmark Health (Dover, DE)
- …. Provides direct oversight to Case Managers, meets all of the requirements of a Case Manager and be able to assist in the day to day responsibilities of a ... Case Manager as needed. This is a... Case Manager as needed. This is a full time community...disabilities population + Two years in home clinical or case management experience + Medicare and Medicaid… more
- Elevance Health (Cumberland, IN)
- …spend 4-5 days per week in-person with patients, members or providers The **RN Case Manager ** **( LTSS Service Coordinator- RN)** is responsible for overall ... with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any combination of education and… more
- Child & Family Services of RI (Middletown, RI)
- …team supports the aging adults and adults with disabling conditions by providing case management , coordinated care, caregiver support, and access to the Long ... with the Office of Healthy Aging (OHA) to provide case management services to clients who are...Healthy Aging and Department of Human Services (DHS). The Case Manager provides in-home visits, monthly calls,… more
- Molina Healthcare (Spokane, WA)
- …psychology, gerontology, public health or social work. **Required Experience** + 1-3 years in case management , disease management , managed care or medical or ... locality with reliable transportation. **Preferred Experience** 3-5 years in case management , disease management , managed...(LCSW) + Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health… more
- Actalent (Syracuse, NY)
- …care, community health or home health setting * Long Term Support Services ( LTSS ) or Managed Long-Term Care (MLTC) UAS field RN experience preferred. * Excellent ... Excel) * Strong interpersonal skills. * Understanding of the basic Utilizations Management aspects of the department About Actalent Actalent is a global leader… more